Carmel Village Retirement Community is a residential care home for the elderly (RCFE) in Fountain Valley, Orange County, California — state license #306005513, licensed for 220 residents, listed as licensed in the CDSS record we retrieved August 2, 2026. It does not appear on the DHCS Assisted Living Waiver participant list checked August 9, 2026 — that list covers the state waiver only, not a home's own payment arrangements. California has 57 dated inspection and complaint documents on file for this home going back to 2021, the most recent dated July 10, 2026 — published below in full, verbatim and unscored.

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Carmel Village Retirement Community

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Residential care home for the elderly (RCFE) · Large community, 220 residents · Fountain Valley, CA · Orange County
LicensedWheelchairMemory careHospiceBedridden
No openings reportedBeds change hands in days ·
License #306005513, held since 2019 · read from the California state record on August 2, 2026 ·See on State Site →
17077 San Mateo · Fountain Valley, Orange County
Phone
(714) 962-6667
from the state licensing roster · August 2, 2026
No Google listing is on file for this home.
Website
None on file
Many small homes have no website — that says nothing about the care inside.
Contact facts come from the state roster, a county Area Agency on Aging roster, the home’s Google listing, or the operator — each labelled, never blended. Operators: add or correct yours, free →
Print tour sheet →

Wheelchair / non-ambulatoryApproved for 220 residents
Dementia / memory careVerified in record
Hospice careApproved for 40 residents
Bedridden careApproved for 20 residents

“Not on file” is not a no — approvals can be bed- or room-specific, so confirm current scope with the home on a tour. Where a number is shown it is the state’s own wording for how many residents the approval covers, not how many places are open today; where none is shown, the record simply does not state one.

Specific medical needs — insulin, oxygen, a catheter, an ostomy — aren’t in the state license record; ask the home directly. A feeding tube, tracheostomy, or advanced wound care usually needs skilled nursing →

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What the state record says, word for word
AGE RANGE 60 AND OVER. 220 NON-AMBULATORY, OF WHICH 20 MAY BE BEDRIDDEN. NON-AMBULATORY ON 1ST AND 2ND FLOOR AND 50% OF 3RD FLOOR. APPROVED FOR DELAYED EGRESS. HOSPICE WAIVER FOR 40.State service designation983 - RCFE / DEMENTIAthe CDSS license record, verbatim · checked August 2, 2026

“RCFE / Dementia” is the state’s designation for a home with an approved Dementia Care Plan of Operation — it’s recorded separately from the comments above, which is why the memory-care approval may not appear in that text.

Since 2021, the state has visited this home 60 times and filed 57 documents. The most recent is a facility evaluation report, dated July 10, 2026.

Most recent state visit
July 10, 2026
Occupancy at the July 21, 2025 visit
189 of 220 beds

The state's published file for this home includes 22 documents with transcribed findings, dated August 4, 2022 to July 21, 2025. 22 of the 22 carry the state's recorded outcome word: “Substantiated” (3), “Unfounded” (5), “Unsubstantiated” (14). 22 include the transcribed allegation the state investigated, word for word.

Summary composed by computer from the 22 documents below — every count derives from them, and the documents themselves are the state's records, verbatim. We never grade, score, or color a record.

What the state’s words mean
Substantiatedthe state found the allegation more likely true than notUnsubstantiatedinvestigated, but couldn’t be confirmed either way — not a finding of wrongdoingUnfoundedthe state concluded it was false or couldn’t have happenedType A citationthe most serious: an immediate health-or-safety risk, usually fixed on the spot or on a short deadlineType B citationless serious, with a deadline to fix
The last 36 months — 42 of 57 documentsFull record on the state’s site →
202611 state visits · 19 documents
Jul 10, 2026Facility evaluation reportReport on file

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

May 23, 2026Complaint investigation reportReport on file

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

May 23, 2026Complaint investigation reportReport on file

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

May 23, 2026Complaint investigation reportReport on file

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Apr 29, 2026Facility evaluation reportReport on file

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Apr 29, 2026Facility evaluation reportReport on file

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Apr 23, 2026Complaint investigation reportReport on file

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Apr 23, 2026Facility evaluation reportReport on file

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Apr 22, 2026Facility evaluation reportReport on file

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Mar 28, 2026Complaint investigation reportReport on file

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Mar 28, 2026Complaint investigation reportReport on file

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Mar 21, 2026Complaint investigation reportReport on file

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Mar 21, 2026Complaint investigation reportReport on file

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Mar 18, 2026Complaint investigation reportReport on file

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Mar 14, 2026Complaint investigation reportReport on file

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Mar 14, 2026Facility evaluation reportReport on file

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Feb 25, 2026Complaint investigation reportReport on file

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Jan 26, 2026Complaint investigation reportReport on file

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Jan 26, 2026Facility evaluation reportReport on file

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

202512 state visits · 16 documents
Dec 18, 2025Facility evaluation reportReport on file

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Dec 18, 2025Facility evaluation reportReport on file

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Nov 25, 2025Facility evaluation reportReport on file

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Nov 18, 2025Complaint investigation reportReport on file

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Nov 18, 2025Complaint investigation reportReport on file

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Jul 21, 2025Complaint investigation reportUnsubstantiated

Allegation investigated: Staff left resident in soiled clothing for extended periods of time Staff did not safeguard residents personal belongings Residents room was malodorous

On July, 21, 2025 Licensing Program Analyst (LPA) Samer Haddadin conducted an unannounced complaint visit to investigate allegations that a "resident's room was malodorous," that "staff did not safeguard residents’ personal belongings," and that "staff left a resident in soiled clothing for extended periods." Upon arrival, LPA Haddadin was greeted, granted entry into the facility by Memory Care Director Laura Forman, and explained the purpose of the visit. The investigation included a tour of the facility, a review of relevant documentation, and interviews with staff and residents. Specifically, this involved interviews with three staff members and three residents, as well as a review of resident and facility files. Regarding the allegation that a "resident's room was malodorous," none of the three residents and none of the three staff members interviewed supported the claim. During the investigation, LPA Haddadin conducted interviews in two resident rooms and the resident breakroom anthe state’s words, verbatim · CDSS document, Jul 21, 2025 · control 22-AS-20210324151302
May 16, 2025Complaint investigation reportUnsubstantiated

Allegation investigated: Resident sustained unexplained fracture while in care. Resident sustained multiple falls due to lack of supervision.

On 05/16/25, Donna Gurriere, Licensing Program Analyst (LPA) contacted the licensee via telephone to deliver final findings regarding a complaint that was received on 09/20/2024. LPA Gurriere spoke with Kianny Soto, Health and Wellness Director and explained the purpose of the call. Resident sustained unexplained fracture while in care. During the interview process, the Resident Care Coordinator, the resident (Resident 1), and several staff persons were interviewed. In addition, documents were reviewed and obtained to include Personnel Report, Physicians Report, Emergency Information, Admission Agreement, Appraisal and Needs, Medication Administrative Record (MARs), Incident Reports and Medical Records. continued Unsubstantiatedthe state’s words, verbatim · CDSS document, May 16, 2025 · control 22-AS-20240920115247
May 13, 2025Facility evaluation reportReport on file

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Apr 30, 2025Complaint investigation reportUnsubstantiated

Allegation investigated: Facility staff mismanaged resident's medications. Facility staff are not adequately trained. Facility laundry room is not maintained clean Resident's sleep is disturbed by staff slamming doors, conversations and other activitities. Facility does not have adequate lighting. Facility does not have adequate staff to meet the needs of the residents. Resident was not given their test results upon request. Facility is in disrepair. Facility does not provide a safe environment for residents.

Licensing Program Analyst (LPA) Samer Haddadin conducted an unannounced complaint visit to present findings regarding the allegations. Upon arrival, LPA Haddadin was greeted, granted entry to the facility, and explained the purpose of the visit. During the investigation, LPA Haddadin toured the facility, interviewed staff members and residents, and reviewed both staff and resident files. The following allegations were investigated: "Resident's sleep is disturbed by staff slamming doors, conversations, and other activities"; "Facility staff mismanaged resident's medications"; "Facility does not have adequate staff to meet the needs of the residents"; "Facility staff are not adequately trained"; "Facility laundry room is not maintained clean"; "Facility does not have adequate lighting"; "Resident was not given their test results upon request"; "Facility is in disrepair"; and "Facility does not provide a safe environment for residents." The findings of the investigation are as follows: Unthe state’s words, verbatim · CDSS document, Apr 30, 2025 · control 22-AS-20220318131858
Apr 22, 2025Facility evaluation reportReport on file

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Apr 22, 2025Facility evaluation reportReport on file

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Apr 21, 2025Complaint investigation reportSubstantiated

Allegation investigated: Staff mismanaged resident's medication

Licensing Program Analyst (LPA) Rose Ruppert made an unannounced visit to deliver findings for a complaint received in our office on April 20, 2022. LPA was greeted and granted entry at 12:30pm and met with Mandy Taylor, LVN, Executive Director and explained the purpose of the visit. On February 28, 2025 LPA Ruppert obtained the resident file and reviewed: Identification Form, Physician's Report, Appraisal Needs and Services Plan and Medication list; as well as Unusual Incident Reports. LPA Samer Haddadin conducted six of six resident interviews and three of three staff interviews regarding the above allegation. LPA Rosie Quiroz made an initial visit on May 28, 2022 and spoke with the Health Services Director (HSD) regarding if staff mismanaged resident's medication. The HSD stated to LPA Quiroz that the resident received the same exact dosage of medication but was taken out of another medication box. (Continued on LIC 9099-C) Substantiatedthe state’s words, verbatim · CDSS document, Apr 21, 2025 · control 22-AS-20220420165307
Apr 21, 2025Complaint investigation reportUnsubstantiated

Allegation investigated: Staff neglect resulting in resident sustaining a pressure ulcer Staff do not respond to resident's call for assistance in a timely manner Staff dropped resident while assisting resident in the shower

Licensing Program Analyst (LPA) Rose Ruppert made an unannounced visit to deliver findings for a complaint received in our office on April 20, 2022. LPA was greeted and granted entry at 12:30pm and met with Mandy Taylor, LVN, Executive Director and explained the purpose of the visit. On February 28, 2025 LPA Ruppert obtained the resident file and reviewed: Identification Form, Physician's Report, Appraisal Needs and Services Plan and Medication list; as well as Unusual Incident Reports. LPA Samer Haddadin conducted six of six resident interviews and three of three staff interviews regarding the above allegations on February 28, 2025. Staff and residents interviewed by LPA Haddadin were asked If they knew of staff neglect that resulted in a resident sustaining a pressure ulcer. Six of six residents and three of three staff denied this allegation. (Continued on LIC 9099-C) Unsubstantiatedthe state’s words, verbatim · CDSS document, Apr 21, 2025 · control 22-AS-20220420165307
Mar 5, 2025Facility evaluation reportReport on file

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Feb 28, 2025Complaint investigation reportSubstantiated

Allegation investigated: Staff is yelling at resident

Findings: allegation: Staff is yelling at resident. Licensing Program Analysts (LPAs) Samer Haddadin, and Rose Ruppert conducted an unannounced complaint visit to deliver findings on the above allegation. LPAs were greeted and granted entry into the facility and explained the reason for the visit. During the investigation, LPA toured the facility, interviewed staff members and residents as well as reviewed staff files and resident files. It was alleged: Staff is yelling at resident. The investigation determined as follows: LPA conducted interviews with three staff members and three residents. The investigation revealed three of three residents’ interviews could not support the allegation due to their cognitive ability and mental awareness. Meaning, residents did not completely understand what the LPA was asking them. However, one of three staff interviews collaborated the allegation, while two of three staff interviews denied seeing or witnessing any staff yelling at residents. Substanthe state’s words, verbatim · CDSS document, Feb 28, 2025 · control 22-AS-20211202124852
Feb 4, 2025Complaint investigation reportUnsubstantiated

Allegation investigated: Staff intimidated a resident

Licensing Program Analyst (LPA) Samer Haddadin conducted an unannounced complaint visit to deliver findings on the above allegation. LPA was greeted and granted entry into the facility Health and Wellness Director and explained the reason for the visit. During the investigation, LPA toured the facility, interviewed staff members and residents as well as reviewed staff files and resident files. It was alleged: Staff intimidated a resident. The investigation determined as follows: LPA conducted interviews with three staff members and three residents. Three of three staff interviews did not support the allegation. However, one of three staff interviews did confirm observing S1 yelling at residents on multiple occasions. Per interview, S1’s yelling was not done in any way threatening or intimidating as they believed S1 was doing so due to residents being hard of hearing and not a form of intimidation. Unsubstantiatedthe state’s words, verbatim · CDSS document, Feb 4, 2025 · control 22-AS-20211202124852
20245 state visits · 6 documents
Dec 11, 2024Complaint investigation reportUnsubstantiated

Allegation investigated: Facility is malodorous

This unannounced investigation inspection by Licensing Program Analyst (LPA) Dwayne Mason Jr. is being conducted to initiate and conclude this agency’s investigation in the complaint allegation(s) mentioned bove. LPA met with Executive Director Justine Ortiz and explained the nature of the inspection.The department received a complaint on 12/4/2024 alleging the facility is malodorous. On 12/4/2024 LPA conducted a visit to the facility. LPA obtained copies of the resident roster and staff roster. LPA toured the facility and did not observe any malodorous smells. LPA conducted interviews with 7 residents. 6 out of 7 residents stated the hallways do not smell like urine or have a malodorous smell. Based on observations and interviews conducted there is insufficient evidence to support the allegation(s). Although the allegation(s) may have happened or is valid; there is not a preponderance of evidence to prove that the alleged violation(s) did or did not occur, therefore the allegation isthe state’s words, verbatim · CDSS document, Dec 11, 2024 · control 22-AS-20241204091230
Nov 5, 2024Facility evaluation reportReport on file

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Aug 21, 2024Complaint investigation reportUnfounded

Allegation investigated: Facility staff did not ensure resident's food was protected against vermin.

Licensing Program Analyst (LPA) Ruth Martinez made an unannounced visit to conduct the initial visit to begin the investigation into the allegation listed above. LPA met with Justin Ortiz, Executive Director and explained the nature of the visit. Based on the information obtained during this investigation the department has concluded the investigation into the above mentioned allegation. Findings are based upon this investigation which included interviews conducted, tour of the physical plant of the facility, resident file review, and copies of pertinent documents obtained (Pest Flex pest control contract and service invoices). It is alleged that facility staff did not ensure resident’s food was protected against vermin. Interview conducted with resident (R1) stated that R1 had an issue with vermin in their sandwich 3 years ago. R1 stated Continued on LIC9099-C Unfoundedthe state’s words, verbatim · CDSS document, Aug 21, 2024 · control 22-AS-20240816143222
Jun 14, 2024Complaint investigation reportUnsubstantiated

Allegation investigated: Staff are not properly addressing pest infestation in facility

An unannounced complaint investatigation was conducted on this day by Licensing Program Analysts (LPAs) Michael Tea and Rose Ruppert and Licensing Program Manager (LPM) Alisa Ortiz regarding the allegation mentioned above. LPAs and LPM met with Executive Director (ED) Justine Ortiz. It was alleged that staff are not properly addressing pest infestation in facility. During the investigation LPAs interviewed residents and staff, checked resident files and reviewed facility maintanence invoices. The investigation determine the following: In October 2023 Resident 1 (R1) had reported to facility about flea and mite infestation in their bedroom. Facility provided pest fumagation to R1's room. Per interview with maintanence director the facility has a contracted pest control company and contacted them to inspect for pests in R1's room. Per pest control records obtained no flea or mite activity was noted in the invoices and reports. (continued ... ) Unsubstantiatedthe state’s words, verbatim · CDSS document, Jun 14, 2024 · control 22-AS-20240311095131
Jun 14, 2024Complaint investigation reportUnsubstantiated

Allegation investigated: Staff do not prevent a resident from sustaining multiple falls while in care

LIcensing Program Manager (LPM) Alisa Ortiz, Licensing Program Analysts (LPA) Michael Tea and Rose Ruppert made an unannounced visit to the facility today to conduct a complaint follow-up visit. LPM and LPAs were greeted and granted entry by Jennifer Cerda, Concierge. During today’s visit, LPM and LPAs met with Justine Ortiz, Administrator. LPM and LPA Ruppert reviewed resident's (R1) Service Plan, Physician's Report (LIC 602A), Progress Notes and medical file. LPA Ruppert conducted interviews with facility staff. The investigation determined the following: It was alleged staff did not prevent a resident from sustaining multiple falls while in care due to R1 sustaining five falls within a thirty day period. R1 moved into the facility on March 1, 2024. R1 is ambulatory with the assistance of a walker, is able to communicate needs and had a secondary diagnosis of Mild Cognitive Impairment (MCI) based on the LIC 602A dated on March 8, 2024. (Continuation...) Unsubstantiatedthe state’s words, verbatim · CDSS document, Jun 14, 2024 · control 22-AS-20240507144901
Apr 11, 2024Facility evaluation reportReport on file

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

20231 state visit · 1 document
Nov 2, 2023Facility evaluation reportReport on file

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Beside homes the same size
Type A citations0typical 1
Type B citations4typical 1
Substantiated complaints5typical 2
Total complaints35typical 7
State visits on file60typical 19
“Typical” is the statewide median across the 1,244 licensed larger communities (16+ beds) in the state record — larger, longer-licensed homes accumulate more visits and reports, so compare like with like. One complaint can contain several allegations. Counts cover this license since 2019.
Year-by-year trend
YearVisitsDocumentsSubstantiated20261119020251216220245602023514020223312021110
An “unsubstantiated” complaint is not a finding of wrongdoing — it means the state investigated and could not confirm the allegation. Outcome words are the state’s own; we never grade, score, or color a record.Operate this home? Respond to or correct any document here, free. Respond or correct →

See an error in these counts? Report it — free →

≈ $5,000–$7,500 /mo
our estimate — Orange County band, market research June 2026; not this home’s quoted price
$3,500 · statewide low$9,000 · statewide high
California’s public record holds no per-home price, so we never invent one. Ask the home for its rate sheet, or
Ways families pay here
Private pay — ask what the base rate includes and what’s billed separately.SSI/SSP — California’s board-and-care payment standard is $1,626.07/mo (2026): $1,444.07 to the home, $182 stays with the resident.Medi-Cal ALW — this home isn’t on the DHCS waiver list (checked August 9, 2026). Details →

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What dementia training does staff have, and is the area secured?
Non-ambulatory approval — whole home or specific rooms, and is a spot open?
How is medication handled and logged day to day?
What’s in the base monthly rate, and what’s billed separately?
Staff-to-resident ratio on day and night shifts?
How are medical emergencies handled after hours?

The first two come straight from this home’s record — a brochure won’t answer them.

Operate this home? This page is generated from CDSS public records — respond or correct it, free.
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Is Carmel Village Retirement Community licensed?

Yes — Carmel Village Retirement Community is a licensed residential care home for the elderly (RCFE) in Fountain Valley (Orange County): California license #306005513, shown as licensed in the CDSS state record checked August 2, 2026, licensed for 220 residents. State records list 57 inspection and complaint documents since 2021; the most recent, a facility evaluation report dated July 10, 2026, appears in the inspection record on this page.

Can Carmel Village Retirement Community care for dementia, hospice, bedridden, or non-ambulatory residents?

From the CDSS license record, checked August 2, 2026.

The CDSS license record checked August 2, 2026 lists Carmel Village Retirement Community with clearances for wheelchair / non-ambulatory, dementia / memory care, hospice care, and bedridden. Clearances describe what the license permits, not day-to-day staffing — confirm current scope and availability with the home directly on a tour.

Wheelchair / non-ambulatoryDementia / memory careHospice careBedridden

From the California state record. Some approvals are bed- or room-specific — always confirm current scope with the facility.

What the state record says, word for word
Verbatim, from the CDSS license recordAGE RANGE 60 AND OVER. 220 NON-AMBULATORY, OF WHICH 20 MAY BE BEDRIDDEN. NON-AMBULATORY ON 1ST AND 2ND FLOOR AND 50% OF 3RD FLOOR. APPROVED FOR DELAYED EGRESS. HOSPICE WAIVER FOR 40.

How much does Carmel Village Retirement Community cost?

California's public licensing record does not include Carmel Village Retirement Community's monthly price, so we never show or estimate one for a specific home. As county-level context only, assisted living in Orange County typically runs $5,000–$7,500/mo and small board-and-care homes $4,000–$6,500/mo (market research compiled June 2026 — ranges, not quotes; California's 2026 SSI/SSP board-and-care payment standard is $1,626.07/month, of which $1,444.07 is the room-and-board portion paid to the home). Ask the home for its own rate sheet and what the base rate includes — or use the cost section at the top of this page.

Does Carmel Village Retirement Community accept Medi-Cal or the Assisted Living Waiver?

Carmel Village Retirement Community is not in the DHCS Assisted Living Waiver participant record we checked August 9, 2026 — that list covers only the state's ALW program, not a home's own payment policies, so ask the home directly about private Medi-Cal arrangements. The waiver pays for assisted-living care services (not room and board) at participating homes; every DHCS-listed home appears on our statewide Medi-Cal page.

Assisted living on Medi-Cal in California →See the DHCS list →

How full it was at the last state visit

189 of 220 beds occupied (86%) when the state visited on July 21, 2025. Availability changes constantly — confirm a current opening with the home.

What do state inspections show for Carmel Village Retirement Community?

Verbatim from CDSS complaint-investigation reports — the state's own words, never summarized by us. Record checked August 2, 2026.

The CDSS state record checked August 2, 2026 lists 60 state visits and 57 dated documents since 2021 for Carmel Village Retirement Community; 22 complaint-investigation narratives are transcribed verbatim below. The most recent, dated July 21, 2025, records an allegation the state marked “Unsubstantiated”. Open any entry to read the state's full finding, word for word.

Most licensed homes receive some findings over 36 months; what matters is what was found and whether it was corrected. Counts here are shown compared with homes of similar size, and the state's own words appear in full below.

22 transcribed reports on file

2025

Complaint investigationAllegation reviewed · Unsubstantiated
Allegation the state reviewedStaff left resident in soiled clothing for extended periods of time Staff did not safeguard residents personal belongings Residents room was malodorous
State's findingUnsubstantiatedThe state investigated but could not confirm the allegation. This is not a finding of wrongdoing.
On July, 21, 2025 Licensing Program Analyst (LPA) Samer Haddadin conducted an unannounced complaint visit to investigate allegations that a "resident's room was malodorous," that "staff did not safeguard residents’ personal belongings," and that "staff left a resident in soiled clothing for extended periods." Upon arrival, LPA Haddadin was greeted, granted entry into the facility by Memory Care Director Laura Forman, and explained the purpose of the visit. The investigation included a tour of the facility, a review of relevant documentation, and interviews with staff and residents. Specifically, this involved interviews with three staff members and three residents, as well as a review of resident and facility files. Regarding the allegation that a "resident's room was malodorous," none of the three residents and none of the three staff members interviewed supported the claim. During the investigation, LPA Haddadin conducted interviews in two resident rooms and the resident breakroom an— CDSS inspection report, July 21, 2025 · control 22-AS-20210324151302
Complaint investigationAllegation reviewed · Unsubstantiated
Allegation the state reviewedResident sustained unexplained fracture while in care. Resident sustained multiple falls due to lack of supervision.
State's findingUnsubstantiatedThe state investigated but could not confirm the allegation. This is not a finding of wrongdoing.
On 05/16/25, Donna Gurriere, Licensing Program Analyst (LPA) contacted the licensee via telephone to deliver final findings regarding a complaint that was received on 09/20/2024. LPA Gurriere spoke with Kianny Soto, Health and Wellness Director and explained the purpose of the call. Resident sustained unexplained fracture while in care. During the interview process, the Resident Care Coordinator, the resident (Resident 1), and several staff persons were interviewed. In addition, documents were reviewed and obtained to include Personnel Report, Physicians Report, Emergency Information, Admission Agreement, Appraisal and Needs, Medication Administrative Record (MARs), Incident Reports and Medical Records. continued Unsubstantiated— CDSS inspection report, May 16, 2025 · control 22-AS-20240920115247
Complaint investigationAllegation reviewed · Unsubstantiated
Allegation the state reviewedFacility staff mismanaged resident's medications. Facility staff are not adequately trained. Facility laundry room is not maintained clean Resident's sleep is disturbed by staff slamming doors, conversations and other activitities. Facility does not have adequate lighting. Facility does not have adequate staff to meet the needs of the residents. Resident was not given their test results upon request. Facility is in disrepair. Facility does not provide a safe environment for residents.
State's findingUnsubstantiatedThe state investigated but could not confirm the allegation. This is not a finding of wrongdoing.
Licensing Program Analyst (LPA) Samer Haddadin conducted an unannounced complaint visit to present findings regarding the allegations. Upon arrival, LPA Haddadin was greeted, granted entry to the facility, and explained the purpose of the visit. During the investigation, LPA Haddadin toured the facility, interviewed staff members and residents, and reviewed both staff and resident files. The following allegations were investigated: "Resident's sleep is disturbed by staff slamming doors, conversations, and other activities"; "Facility staff mismanaged resident's medications"; "Facility does not have adequate staff to meet the needs of the residents"; "Facility staff are not adequately trained"; "Facility laundry room is not maintained clean"; "Facility does not have adequate lighting"; "Resident was not given their test results upon request"; "Facility is in disrepair"; and "Facility does not provide a safe environment for residents." The findings of the investigation are as follows: Un— CDSS inspection report, April 30, 2025 · control 22-AS-20220318131858
Complaint investigationAllegation reviewed · Substantiated
Allegation the state reviewedStaff mismanaged resident's medication
State's findingSubstantiatedThe state investigated and found this allegation more likely than not true.
Licensing Program Analyst (LPA) Rose Ruppert made an unannounced visit to deliver findings for a complaint received in our office on April 20, 2022. LPA was greeted and granted entry at 12:30pm and met with Mandy Taylor, LVN, Executive Director and explained the purpose of the visit. On February 28, 2025 LPA Ruppert obtained the resident file and reviewed: Identification Form, Physician's Report, Appraisal Needs and Services Plan and Medication list; as well as Unusual Incident Reports. LPA Samer Haddadin conducted six of six resident interviews and three of three staff interviews regarding the above allegation. LPA Rosie Quiroz made an initial visit on May 28, 2022 and spoke with the Health Services Director (HSD) regarding if staff mismanaged resident's medication. The HSD stated to LPA Quiroz that the resident received the same exact dosage of medication but was taken out of another medication box. (Continued on LIC 9099-C) Substantiated— CDSS inspection report, April 21, 2025 · control 22-AS-20220420165307
Complaint investigationAllegation reviewed · Unsubstantiated
Allegation the state reviewedStaff neglect resulting in resident sustaining a pressure ulcer Staff do not respond to resident's call for assistance in a timely manner Staff dropped resident while assisting resident in the shower
State's findingUnsubstantiatedThe state investigated but could not confirm the allegation. This is not a finding of wrongdoing.
Licensing Program Analyst (LPA) Rose Ruppert made an unannounced visit to deliver findings for a complaint received in our office on April 20, 2022. LPA was greeted and granted entry at 12:30pm and met with Mandy Taylor, LVN, Executive Director and explained the purpose of the visit. On February 28, 2025 LPA Ruppert obtained the resident file and reviewed: Identification Form, Physician's Report, Appraisal Needs and Services Plan and Medication list; as well as Unusual Incident Reports. LPA Samer Haddadin conducted six of six resident interviews and three of three staff interviews regarding the above allegations on February 28, 2025. Staff and residents interviewed by LPA Haddadin were asked If they knew of staff neglect that resulted in a resident sustaining a pressure ulcer. Six of six residents and three of three staff denied this allegation. (Continued on LIC 9099-C) Unsubstantiated— CDSS inspection report, April 21, 2025 · control 22-AS-20220420165307
Complaint investigationAllegation reviewed · Substantiated
Allegation the state reviewedStaff is yelling at resident
State's findingSubstantiatedThe state investigated and found this allegation more likely than not true.
Findings: allegation: Staff is yelling at resident. Licensing Program Analysts (LPAs) Samer Haddadin, and Rose Ruppert conducted an unannounced complaint visit to deliver findings on the above allegation. LPAs were greeted and granted entry into the facility and explained the reason for the visit. During the investigation, LPA toured the facility, interviewed staff members and residents as well as reviewed staff files and resident files. It was alleged: Staff is yelling at resident. The investigation determined as follows: LPA conducted interviews with three staff members and three residents. The investigation revealed three of three residents’ interviews could not support the allegation due to their cognitive ability and mental awareness. Meaning, residents did not completely understand what the LPA was asking them. However, one of three staff interviews collaborated the allegation, while two of three staff interviews denied seeing or witnessing any staff yelling at residents. Substan— CDSS inspection report, February 28, 2025 · control 22-AS-20211202124852
Complaint investigationAllegation reviewed · Unsubstantiated
Allegation the state reviewedStaff intimidated a resident
State's findingUnsubstantiatedThe state investigated but could not confirm the allegation. This is not a finding of wrongdoing.
Licensing Program Analyst (LPA) Samer Haddadin conducted an unannounced complaint visit to deliver findings on the above allegation. LPA was greeted and granted entry into the facility Health and Wellness Director and explained the reason for the visit. During the investigation, LPA toured the facility, interviewed staff members and residents as well as reviewed staff files and resident files. It was alleged: Staff intimidated a resident. The investigation determined as follows: LPA conducted interviews with three staff members and three residents. Three of three staff interviews did not support the allegation. However, one of three staff interviews did confirm observing S1 yelling at residents on multiple occasions. Per interview, S1’s yelling was not done in any way threatening or intimidating as they believed S1 was doing so due to residents being hard of hearing and not a form of intimidation. Unsubstantiated— CDSS inspection report, February 4, 2025 · control 22-AS-20211202124852

2024

Complaint investigationAllegation reviewed · Unsubstantiated
Allegation the state reviewedFacility is malodorous
State's findingUnsubstantiatedThe state investigated but could not confirm the allegation. This is not a finding of wrongdoing.
This unannounced investigation inspection by Licensing Program Analyst (LPA) Dwayne Mason Jr. is being conducted to initiate and conclude this agency’s investigation in the complaint allegation(s) mentioned bove. LPA met with Executive Director Justine Ortiz and explained the nature of the inspection.The department received a complaint on 12/4/2024 alleging the facility is malodorous. On 12/4/2024 LPA conducted a visit to the facility. LPA obtained copies of the resident roster and staff roster. LPA toured the facility and did not observe any malodorous smells. LPA conducted interviews with 7 residents. 6 out of 7 residents stated the hallways do not smell like urine or have a malodorous smell. Based on observations and interviews conducted there is insufficient evidence to support the allegation(s). Although the allegation(s) may have happened or is valid; there is not a preponderance of evidence to prove that the alleged violation(s) did or did not occur, therefore the allegation is— CDSS inspection report, December 11, 2024 · control 22-AS-20241204091230
Complaint investigationAllegation reviewed · Unfounded
Allegation the state reviewedFacility staff did not ensure resident's food was protected against vermin.
State's findingUnfoundedThe state investigated and found the allegation to be false.
Licensing Program Analyst (LPA) Ruth Martinez made an unannounced visit to conduct the initial visit to begin the investigation into the allegation listed above. LPA met with Justin Ortiz, Executive Director and explained the nature of the visit. Based on the information obtained during this investigation the department has concluded the investigation into the above mentioned allegation. Findings are based upon this investigation which included interviews conducted, tour of the physical plant of the facility, resident file review, and copies of pertinent documents obtained (Pest Flex pest control contract and service invoices). It is alleged that facility staff did not ensure resident’s food was protected against vermin. Interview conducted with resident (R1) stated that R1 had an issue with vermin in their sandwich 3 years ago. R1 stated Continued on LIC9099-C Unfounded— CDSS inspection report, August 21, 2024 · control 22-AS-20240816143222
Complaint investigationAllegation reviewed · Unsubstantiated
Allegation the state reviewedStaff are not properly addressing pest infestation in facility
State's findingUnsubstantiatedThe state investigated but could not confirm the allegation. This is not a finding of wrongdoing.
An unannounced complaint investatigation was conducted on this day by Licensing Program Analysts (LPAs) Michael Tea and Rose Ruppert and Licensing Program Manager (LPM) Alisa Ortiz regarding the allegation mentioned above. LPAs and LPM met with Executive Director (ED) Justine Ortiz. It was alleged that staff are not properly addressing pest infestation in facility. During the investigation LPAs interviewed residents and staff, checked resident files and reviewed facility maintanence invoices. The investigation determine the following: In October 2023 Resident 1 (R1) had reported to facility about flea and mite infestation in their bedroom. Facility provided pest fumagation to R1's room. Per interview with maintanence director the facility has a contracted pest control company and contacted them to inspect for pests in R1's room. Per pest control records obtained no flea or mite activity was noted in the invoices and reports. (continued ... ) Unsubstantiated— CDSS inspection report, June 14, 2024 · control 22-AS-20240311095131
Complaint investigationAllegation reviewed · Unsubstantiated
Allegation the state reviewedStaff do not prevent a resident from sustaining multiple falls while in care
State's findingUnsubstantiatedThe state investigated but could not confirm the allegation. This is not a finding of wrongdoing.
LIcensing Program Manager (LPM) Alisa Ortiz, Licensing Program Analysts (LPA) Michael Tea and Rose Ruppert made an unannounced visit to the facility today to conduct a complaint follow-up visit. LPM and LPAs were greeted and granted entry by Jennifer Cerda, Concierge. During today’s visit, LPM and LPAs met with Justine Ortiz, Administrator. LPM and LPA Ruppert reviewed resident's (R1) Service Plan, Physician's Report (LIC 602A), Progress Notes and medical file. LPA Ruppert conducted interviews with facility staff. The investigation determined the following: It was alleged staff did not prevent a resident from sustaining multiple falls while in care due to R1 sustaining five falls within a thirty day period. R1 moved into the facility on March 1, 2024. R1 is ambulatory with the assistance of a walker, is able to communicate needs and had a secondary diagnosis of Mild Cognitive Impairment (MCI) based on the LIC 602A dated on March 8, 2024. (Continuation...) Unsubstantiated— CDSS inspection report, June 14, 2024 · control 22-AS-20240507144901

2023

Complaint investigationAllegation reviewed · Unsubstantiated
Allegation the state reviewed-Facility failed to notify responsible party of medical emergency -Resident's bedroom was left in unsanitary condition
State's findingUnsubstantiatedThe state investigated but could not confirm the allegation. This is not a finding of wrongdoing.
On today's date, Licensing Program Analyst (LPA) Rosie Quiroz made an unannounced visit for the purpose to deliver findings for complaint allegations listed above. LPA Quiroz was greeted and met with Nilab Popal, Business Office Manager, Health Wellness Director Laura Sanchez and Terrie Sherrell, Regional Director of Health and Wellness and discussed purpose of today's visit. Regarding the allegation, "Facility failed to notify responsible party of medical emergency," the investigation included but not limited to: Documentation review of narrative charting entries dated 01/02/2019 through 10/07/2020 and interviews conducted with interviewees consisting of staff, residents and other witnesses. Three of five interviewees indicated a voicemail message was conducted to Resident 1 (R1s) Responsible Party via voicemail message with reporting requirements of unwitnessed fall which occurred on 10/3/2020. Two of five interviewees indicated having no knowledge of reporting requirements and not k— CDSS inspection report, August 3, 2023 · control 22-AS-20201002130659
Complaint investigationAllegation reviewed · Unfounded
Allegation the state reviewed-Personal Rights are being violated
State's findingUnfoundedThe state investigated and found the allegation to be false.
On today's date, Licensing Program Analyst (LPA) Rosie Quiroz and Licensing Program Manager (LPM ) Alisa Ortiz made an unannounced visit for the purpose to deliver findings for complaint allegation listed above. LPA Quiroz and LPM Ortiz were greeted and met with Executive Director (ED) Charles Eusey and discussed purpose of today's visit. Regarding the allegation "Personal Rights are being violated," investigation revealed the following: It was reported that the Resident's 1 (R1) personal rights were being violated due to (R1) not receiving a refund upon moving out of the facility. (R1) was admitted to the facility on 2/26/2021 at which time they paid a $2800 fee for facility community fee. Per (R1s) admission agreement community fees are a one time payment paid to the facility to cover services such as: processing application, conducting pre appraisal and development of care plan. The community fee is not considered a security deposit. On 3/8/2021 (R1) provided a 30 Day notice of inte— CDSS inspection report, May 17, 2023 · control 22-AS-20210315130638
Complaint investigationAllegation reviewed · Unfounded
Allegation the state reviewed-Facility is not following the admission agreement.
State's findingUnfoundedThe state investigated and found the allegation to be false.
On today's date, Licensing Program Analyst (LPA) Rosie Quiroz and Licensing Program Manager (LPM ) Alisa Ortiz made an unannounced visit for the purpose to deliver findings for complaint allegation listed above. LPA Quiroz and LPM Ortiz were greeted and met with Executive Director (ED) Charles Eusey and discussed purpose of today's visit. Regarding the allegation "Facility is not following the admission agreement," investigation revealed the following: It was reported that facility was charging Resident 1 (R1) additional fees without notice. (R1) was admitted to the facility on May 1, 2021 under a marketing promotional discount. On 2/1/2022 (R1s) Responsible Party received written 60 day notice from the facility notifying them of rent increase which was to become effective on 4/1/2022. (R1s) billing ledger was reviewed and confirmed increase did not go into effect until 4/1/2022. On 3/18/2022 the facility issued a notice to all residents and responsible parties notifying them of a $1 i— CDSS inspection report, May 17, 2023 · control 22-AS-20220915135303
Complaint investigationAllegation reviewed · Unsubstantiated
Allegation the state reviewed-Staff gave out the resident's phone number without permission.
State's findingUnsubstantiatedThe state investigated but could not confirm the allegation. This is not a finding of wrongdoing.
On today's date, Licensing Program Analyst (LPA) Rosie Quiroz and Licensing Program Manager (LPM ) Alisa Ortiz made an unannounced visit for the purpose to deliver findings for complaint allegation listed above. LPA Quiroz and LPM Ortiz were greeted and met with Executive Director (ED) Charles Eusey and discussed purpose of today's visit. Regarding the allegation "Staff gave out the resident's phone number without permission," the investigation revealed the following: It was reported Resident's 1 (R1) personal number was provided to Resident 2 (R2) via facility staff. LPA Quiroz conducted interviews with three of three residents. Per interviews conducted (R2) reported that they already had (R1s) telephone number previously, but that they had misplaced it. Interview conducted with one of three interviewees reported they had no knowledge of any other complaints of residents information being provided without permission. LPA Quiroz interviewed Staff 1 (S1) who reported (R1) and (R2) as be— CDSS inspection report, May 17, 2023 · control 22-AS-20220520134817
Complaint investigationAllegation reviewed · Unsubstantiated
Allegation the state reviewed-The facility is not providing the special diet to the resident as ordered by the physician. -Resident's personal rights were violated. One of the employees of the facility ate the resident's personal ice cream in the facility freezer.
State's findingUnsubstantiatedThe state investigated but could not confirm the allegation. This is not a finding of wrongdoing.
On today's date, Licensing Program Analyst (LPA) Rosie Quiroz and Licensing Program Manager (LPM ) Alisa Ortiz made an unannounced visit for the purpose to deliver findings for complaint allegations listed above. LPA Quiroz and LPM Ortiz were greeted and met with Executive Director (ED) Charles Eusey and discussed purpose of today's visit. Regarding the allegations "The facility is not providing the special diet to the resident as ordered by the physician" and "Resident's personal rights were violated. One of the employees of the facility ate the resident's personal ice cream in the facility freezer," the investigation revealed the following: It was reported that Resident (R1) was allergic to all pork products. Documentation including physician reported dated 11/24/2020 confirmed (R1) as beign allergic to lard and all pork products. (R1s) Needs and services plan dated 3/22/2022 notes facility is aware of (R1s) food allergy and lists (R1) as having a therapeutic diet. The Needs and Serv— CDSS inspection report, May 17, 2023 · control 22-AS-20220207122742
Complaint investigationAllegation reviewed · Unsubstantiated
Allegation the state reviewed-Facility failed to keep indoor passageway free of obstruction which resulted in residents fall.
State's findingUnsubstantiatedThe state investigated but could not confirm the allegation. This is not a finding of wrongdoing.
On today's date, Licensing Program Analyst (LPA) Rosie Quiroz and Licensing Program Manager (LPM ) Alisa Ortiz made an unannounced visit for the purpose to deliver findings for complaint allegation listed above. LPA Quiroz and LPM Ortiz were greeted and met with Executive Director (ED) Charles Eusey and discussed purpose of today's visit. Regarding the allegation "Facility failed to keep indoor passageway freee of obstruction which resulted in residents fall," the investigation revealed the following: It was reported Resident 1(R1) sustained a fall at the facility on 9/10/2022 due to slipping on a piece of paper in their room. Per physician report reviewed dated 11/24/2020 (R1) is ambulatory and independent in transfers and all activities of daily living. (R1) is bling in their right and has low vision in their left eye. The facility needs and services plan dated 3/22/2022 list (R1) as being blind in both eyes and requiring escorting to meals and activities. However (R1) was not assess— CDSS inspection report, May 17, 2023 · control 22-AS-20220922134807
Complaint investigationAllegation reviewed · Unfounded
Allegation the state reviewed-Facility elevator is not accessible to residents due to being in disrepair
State's findingUnfoundedThe state investigated and found the allegation to be false.
On today's date, Licensing Program Analyst (LPA) Rosie Quiroz and Licensing Program Manager (LPM ) Alisa Ortiz made an unannounced visit for the purpose to deliver findings for complaint allegation listed above. LPA Quiroz and LPM Ortiz were greeted and met with Executive Director (ED) Charles Eusey and discussed purpose of today's visit. Regarding the allegation "Facility elevator is not accessible to residents due to being in disrepair," investigation revealed the following: On 2/2/2023 the department received written notice from the facility notifying all parties of planned elevator repair to elevator in Building #1. The repairs were set to commence on 2/13/2023 and were to be completed within 6 week timeframe. The facility implemented no tray charges for residents located on the second and third floor and provided escorting to residents who required assistance utilizing the stairs during the repairs. Snacks were provided to the residents on the second and third floor. Interviews co— CDSS inspection report, May 17, 2023 · control 22-AS-20230222134942
Complaint investigationAllegation reviewed · Unfounded
Allegation the state reviewed-Facility has not eradicated insect infestation
State's findingUnfoundedThe state investigated and found the allegation to be false.
On today's date, Licensing Program Analyst (LPA) Rosie Quiroz and Licensing Program Manager (LPM ) Alisa Ortiz made an unannounced visit for the purpose to deliver findings for complaint allegation listed above. LPA Quiroz and LPM Ortiz were greeted and met with Executive Director (ED) Charles Eusey and discussed purpose of today's visit. Regarding the allegation "Facility has not eradicated insect infestation," investigation revealed the following: Documents received dated 6/22/2022, 7/27/2022 and 8/24/2022 confirmed facility has a contracted exterminator company providing pest control services. The contracted company provides routine monthly maintenance to the facility. In addition the facility Maintenance Director provides as needed room treatment when requested by residents. Invoices reviewed do not show any reports of pest activity present at the facility. Interviews conducted with three of three stafff denied ever observing pest and/or insects within the facility. CONTINUED... **— CDSS inspection report, May 17, 2023 · control 22-AS-20220929163554
Complaint investigationAllegation reviewed · Unsubstantiated
Allegation the state reviewed-Staff are unable to meet the resident's needs while in care.
State's findingUnsubstantiatedThe state investigated but could not confirm the allegation. This is not a finding of wrongdoing.
On today's date, Licensing Program Analyst (LPA) Rosie Quiroz and Licensing Program Manager (LPM ) Alisa Ortiz made an unannounced visit for the purpose to deliver findings for complaint allegation listed above. LPA Quiroz and LPM Ortiz were greeted and met with Executive Director (ED) Charles Eusey and discussed purpose of today's visit. Regarding the allegation "Staff are unable to meet the resident's needs while in care," the investigation revealed the following: It was reported that staff are unable to meet resident's needs while in care due to Resident 1 (R1) being blind. Per physician report dated 11/24/2020 (R1) is listed as being ambulatory and able to transfer independently despite being blind in the right eye and having low vision in the left eye. Facility needs and services plan for (R1) dated 3/22/2022 list (R1) being blind in both eyes and requiring excorting to and from meals and activities. Interviews conducted with four of four staff confirmed facility staff are aware o— CDSS inspection report, May 17, 2023 · control 22-AS-20221011152147
Complaint investigationAllegation reviewed · Unsubstantiated
Allegation the state reviewed-Facility did not provide adequate supervision resulting in resident jumping out a window.
State's findingUnsubstantiatedThe state investigated but could not confirm the allegation. This is not a finding of wrongdoing.
On today's date, Licensing Program Analyst (LPA) Rosie Quiroz conducted an unannounced visit to deliver findings on an investigation completed by the Department. LPA was greeted and granted entry into the facility by front desk concierge and met with Administrator Charles Eusey and explained the reason for the visit. During course of the investigation, the Department interviewed staff and witnesses as well as reviewed and obtained pertinent documentation. The purpose of today’s visit is to follow up on an investigation conducted by the Department regarding the above allegation. The investigation conducted revealed the following: On August 31, 2022 Resident 1 (R1) jumped out of a second story window of the facility memory care due to their belief that they were being chased by bad guys. Upon being found, R1 was transferred to the hospital and diagnosed with a left frontal scalp abrasion, left ankle pain, left foot pain, and right wrist pain. Prior to the incident, 5 of 8 staff interview— CDSS inspection report, March 15, 2023 · control 22-AS-20220901132618

Transcribed from CDSS complaint-investigation reports · record checked August 2, 2026.

What the state has logged

California has logged 60 state visits for this home as of August 2, 2026. These are the home's own counts, straight from that record — shown beside the statewide median for larger communities (16+ beds), computed across all 1,244 licensed homes of that size, because larger and longer-licensed homes naturally accumulate more visits and reports. They are facts, not a grade — a citation may be minor and since corrected, and an “unsubstantiated” complaint is not a finding of wrongdoing.

Type A citations
0
typical for this size: 1
Type B citations
4
typical for this size: 1
Substantiated complaints
5
typical for this size: 2
Total complaints
35
typical for this size: 7
State visits on file
60
typical for this size: 19
See the full inspection record on the state's site →
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